Assessing Disordered Eating Behaviors in Children and Adolescents

2020 ◽  
Author(s):  
Alda Troncone ◽  
Antonietta Chianese ◽  
Angela Zanfardino ◽  
Crescenzo Cascella ◽  
Alessia Piscopo ◽  
...  

Abstract Background: Recent research indicates that patients with type 1 diabetes (T1D) are at higher risk for disordered eating behaviors (DEBs) than their peers without diabetes. The present study aimed at examining the impact of the COVID-19 lockdown on DEBs in a sample of Italian children and adolescents with T1D and in matched-pair healthy controls.Methods: 138 children and adolescents with T1D (aged 8.01-19.11 years, 65 boys) attending a Southern Italian diabetic service and 276 age- and gender-matched healthy peers voluntarily completed a cross-sectional online survey of eating behaviors (ChEAT and Eat-26), anthropometric characteristics, and clinical characteristics. Results: 8.69% (N=12) of participants with T1D and 13.4% (N=37) of controls had ChEAT/EAT-26 scores indicating presence of DEBs, with no differences between patients—whether children (total ChEAT score F(1, 157)=.104, p=.748) or adolescents (total EAT-26 score F(1, 255)=.135, p=.731)—and healthy peers. zBMI values were lower than those measured in the latest diabetes visit (p<.0001), while HbA1c values remained unchanged (p=.110). In both groups, adolescents had lower Oral Control scores than children (T1D: F(1, 138)= 20.411, p<.0001, η2 =.132, controls: F(1, 276)=18.271, p<.0001, η2 =.063); additionally, gender (female) and age were found to be significant predictors of several ChEAT/EAT-26 scores.Discussion: Psychological conditions in relation to DEB symptoms of children and adolescents with T1D were not aggravated by lockdown conditions. Results indicated DEBs as more of a female adolescent developmental issue rather than as a result of the challenges of living with a chronic illness aggravated by outbreak. Possible effects of parental pressure on their children’s eating behaviors in the context of home confinement and of using a non-diabetes-specific measure to assess DEBs are discussed.


2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Alda Troncone ◽  
Antonietta Chianese ◽  
Angela Zanfardino ◽  
Crescenzo Cascella ◽  
Alessia Piscopo ◽  
...  

Abstract Background Recent research indicates that patients with type 1 diabetes (T1D) are at higher risk for disordered eating behaviors (DEBs) than their peers without diabetes. The present study aimed to explore the prevalence of DEBs in a sample of Italian children and adolescents with T1D and in matched-pair healthy controls during the COVID-19 lockdown. Methods In a cross-sectional study, 138 children and adolescents with T1D (aged 8.01–19.11 years, 65 boys) attending a Southern Italian diabetic service and 276 age- and gender-matched healthy peers voluntarily completed an online survey about eating behaviors (ChEAT and EAT-26), anthropometric characteristics, and clinical characteristics. Results 8.69% (N = 12) of participants with T1D and 13.4% (N = 37) of controls had ChEAT/EAT-26 scores indicating presence of DEBs, with no differences between patients—whether children (total ChEAT score F(1, 157) = .104, p = .748) or adolescents (total EAT-26 score F(1, 255) = .135, p = .731)—and healthy peers. zBMI values were lower than those measured in the latest diabetes visit (p < .0001), while HbA1c values remained unchanged (p = .110). In both groups, adolescents had lower Oral Control scores than children (T1D: F(1, 138) = 20.411, p < .0001, η2 = .132, controls: F(1, 276) = 18.271, p < .0001, η2 = .063); additionally, gender (female) and age were found to be significant predictors of several ChEAT/EAT-26 scores. Conclusions This exploratory study suggested that children and adolescents with T1D did not experience more DEB symptoms during the COVID-19 lockdown compared to healthy controls. Results revealed DEBs as more of a female adolescent developmental issue rather than a result of the challenges of living with a chronic illness under quarantine measures. Possible effects of parental pressure on their children’s eating behaviors in the context of home confinement and of using a non-diabetes-specific measure to assess DEBs are discussed.


2008 ◽  
Author(s):  
Trent A. Petrie ◽  
Christy Greenleaf ◽  
Justine Reel ◽  
Jennifer E. Carter

2014 ◽  
Author(s):  
Angela K. Montfort ◽  
Sarah McLaulin ◽  
Gregory L. Brack ◽  
Kathleen Mckinney Clark ◽  
Jeffrey S. Ashby

2020 ◽  
Vol 48 (10) ◽  
pp. 1-15
Author(s):  
Hao Chen ◽  
Yiduo Ye ◽  
Jichang Guo

We investigated potential mechanisms that may explain the relationship between weight stigma and disordered eating behaviors, using 2 mediation models. In the first model we hypothesized that the relationship between weight stigma and disordered eating behaviors would be mediated by weight bias internalization, and jointly mediated by both weight bias internalization and core self-evaluation. In the alternative model we hypothesized that this relationship would be mediated by core self-evaluation, and jointly mediated by both core selfevaluation and weight bias internalization. Participants were 421 primary and secondary school students (aged 9–14 years) representing various weight categories, who responded to items about their weight stigma, weight bias internalization, core self-evaluation, and disordered eating behaviors. Results show that the 2 mediation models had a good fit to the data. Thus, improving core self-evaluation and reducing weight bias internalization appear to be significant for treating disordered eating behaviors in preadolescents and adolescents.


Sign in / Sign up

Export Citation Format

Share Document